Incidence and characteristics of chronic renal replacement therapy in patients with cancer: data from kidney and cancer registries in Basse-Normandie

Béchade, Clémence; Dejardin, Olivier; Bara, Simona; Bouvier, Anne–Marie; Guizard, Anne‐Valérie; Mil, Rémy De; Troussard, Xavier; Lobbedez, Thierry; Launoy, Guy

doi:10.1007/s40620-016-0356-8

Cited by 6 publications

(15 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eligible studies included incident chronic dialysis patients (n = 42) 2-4,6,8,9,13-48 and patients with CKD known to nephrology (n = 6). 5,49-53 Study designs included retrospective cohort studies (n = 27), 2,3,5,6,14-16,19-24,26,28,31-36,38,47…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Risk Factors for Unplanned Dialysis Initiation: A Systematic Review of the Literature

Hassan

Akbari

Brown

et al. 2019

Can J Kidney Health Dis

View full text Add to dashboard Cite

Background:Unplanned dialysis initiation is common in patients with chronic kidney disease (CKD).Objective:To determine common definitions and patient risk factors for unplanned dialysis.Design:Systematic review.Setting:MEDLINE, EMBASE, and the Cochrane Library were searched from inception to February 2018.Patients:Studies that included incident chronic dialysis patients or patients with CKD that cited a definition or examined risk factors for unplanned dialysis were included.Measurements:Definitions and criteria for unplanned dialysis reported across studies. Patient characteristics associated with unplanned dialysis.Methods:Two reviewers independently extracted data using a standardized data abstraction form and assessed study quality using a modified New Castle Ottawa Scale.Results:From 2797 citations, 48 met eligibility criteria. Reported definitions for unplanned dialysis were variable. Most publications cited dialysis initiation under emergency conditions and/or with a central venous catheter. The association of patient characteristics with unplanned dialysis was reported in 26 studies, 18 were retrospective and 21 included incident dialysis patients. The most common risk factors in univariate analyses were (number of studies) increased age (n = 7), cause of kidney disease (n = 6), presence of cardiovascular disease (n = 7), lower serum hemoglobin (n = 9), lower serum albumin (n = 10), higher serum phosphate (n = 6), higher serum creatinine or lower estimated glomerular filtration rate (eGFR) at dialysis initiation (n = 7), late referral (n = 5), lack of dialysis education (n = 6), and lack of follow-up in a predialysis clinic prior to dialysis initiation (n = 5). A minority of studies performed multivariable analyses (n = 10); the most common risk factors were increased age (n = 4), increased comorbidity score (n = 3), late referral (n = 5), and lower eGFR at dialysis initiation (n = 3).Limitations:Comparison of results across studies was limited by inconsistent definitions for unplanned dialysis. High-quality data on patient risk factors for unplanned dialysis are lacking.Conclusions:Well-designed prospective studies to determine modifiable risk factors are needed. The lack of a consensus definition for unplanned dialysis makes research and quality improvement initiatives in this area more challenging.

show abstract

Section: Resultsmentioning

confidence: 99%

“…13 No randomized control trials were found in the search. The majority of studies were conducted in Europe (n = 26; 22 unique cohorts) 2,8,9,15-19,22-25,29,30,33,36,40-43,45-48,50,51 ; 11 studies were conducted in North America 3-6,14,21,26,28,31,52,53 (Canada, n = 9; 8 unique cohorts). Study cohort sizes ranged from 43 to 45 785 persons.…”

Section: Resultsmentioning

confidence: 99%

Risk Factors for Unplanned Dialysis Initiation: A Systematic Review of the Literature

Hassan

Akbari

Brown

et al. 2019

Can J Kidney Health Dis

View full text Add to dashboard Cite

show abstract

“…It has been reported that cancer is an obstacle to access to self‐care therapy . We recently showed that the incidence of chronic renal replacement therapy in cancer patients is not higher compared to the incidence of dialysis in the general population despite their higher risk of chronic renal disease . However to our knowledge, there is no study focusing on access to pre‐dialysis programs and to chronic dialysis in cancer patients.…”

Section: Discussionmentioning

confidence: 98%

Survival of patients with cancer starting chronic dialysis: Data from kidney and cancer registries in lower Normandy

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…They showed that the RRT group revealed a significantly higher 7-year cancer incidence rate than did the general population and risk for blood, liver, colorectal, oral, breast, renal, upper urinary tract, and bladder cancer development was significantly higher than in the general population. In Europe, Bechade et al [ 98 ] used the data from cancer registries and hospital databases in one French region and searched for subjects with an incident malignancy between 2001 and 2008 who started RRT. They found that the incidence rate of RRT in the population of incident malignancy was 370 per million population/year (74 events/199,809 person-years).…”

Section: Introductionmentioning

confidence: 99%

“…Age-adjustment standardized incidence ratio was 1.26, (95 % CI 0.98-1.57, p = 0.55). In contrast to the American [ 95 ] and Taiwan [ 97 ] counterparts, they suggested that the standardized incidence ratio of chronic dialysis initiation was not significantly differed between patients with malignancy and the general population [ 98 ]. There are several explanations for increased cancer incidence in the dialysis population such as ESRD-associated immunodeficiency and nutritional abnormalities [ 99 – 109 ].…”

Section: Introductionmentioning

confidence: 99%

Cancer and the kidney: dangereoux liasons or price paid for the progress in medicine?

et al. 2017

View full text Add to dashboard Cite

A long time ago, the links between renal disease and malignancy were observed, however, quite recently, their importance was recognized and ‘new’ subspecialty in nephrology, namely ‘onconephrology’ was established. In the XXI century, patients with malignancy make up the most growing number of the subjects seen for nephrology consult and/or critical care nephrology services. A plethora of renal problems may be found in patients with malignancy. They may influence not only their short-term outcomes but also the adequate therapy of the underlying oncological problem. Thus, all these kidney-related issues pose an important challenge for both specialities: oncology and nephrology. In the review a spectrum of acute and chronic renal injury caused by the malignancy is presented as well as the associations between renal disease and cancer. Assessment of kidney function and its importance in patients with malignancy is also discussed as medical oncologists should check the appropriate dose of chemotherapeutic drugs in relation to the actual renal function before prescribing them to the patients. Moreover, effects of kidney function on outcomes in oncology is presented. In addition, nephrology services should better understand both the biology of malignancy with its treatment to become a valuable part treating team to yield the best possible outcome. It is important for nephrology services to be acknowledged and to take an active participation in care of oncology patients.

show abstract

Incidence and characteristics of chronic renal replacement therapy in patients with cancer: data from kidney and cancer registries in Basse-Normandie

Cited by 6 publications

References 13 publications

Risk Factors for Unplanned Dialysis Initiation: A Systematic Review of the Literature

Risk Factors for Unplanned Dialysis Initiation: A Systematic Review of the Literature

Survival of patients with cancer starting chronic dialysis: Data from kidney and cancer registries in lower Normandy

Cancer and the kidney: dangereoux liasons or price paid for the progress in medicine?

Contact Info

Product

Resources

About